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Registration

Please, fill in the registration form:
  1. To continue with an online registration, please fill in required fields in the table below, then click on REGISTER button,
  2. or you may FAX  us or send a MAIL (click here)
Register
Thank you for selecting  CRIAmerica’s training program.

FAX or MAIL: Download form (PDF)
Please  print registration form, fill in the required info and
-FAX  to :     954-366-6011
or
-Mail to: Clinical Research Institute of America 7301 NW 1st Street, Suite 304, Pompano Beach 33063

Payment(s) should be made at the time of registration. We honor VISA, Master Card, American Express, Discover credit cards, debit cards with VISA or Master Card symbols, money order or check payable to “Clinical Research Academy, Inc”.

For additional assistance, please call 954-957-3957 or  contact us.